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全球范围内女性多囊卵巢综合征的流行情况:一项全面的系统评价和荟萃分析。

Global prevalence of polycystic ovary syndrome in women worldwide: a comprehensive systematic review and meta-analysis.

机构信息

Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Department of Obstetrics and Gynecology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

Arch Gynecol Obstet. 2024 Sep;310(3):1303-1314. doi: 10.1007/s00404-024-07607-x. Epub 2024 Jun 26.

Abstract

BACKGROUND

Polycystic ovary syndrome (PCOS) is the most common metabolic disorder among women of reproductive age. Many factors are involved in the development of PCOS, among which genetic predisposition is probably the main contributor that is also influenced by lifestyle and environmental factors. This study aims to determine the prevalence of PCOS in different continents based on Rotterdam, AES and NIH diagnostic criteria.

METHODS

We conducted a systematic review and meta-analysis to evaluate the prevalence of polycystic ovary syndrome in women according to (Preferred Reporting Items for Systematic Review and Meta-Analysis) PRISMA guidelines. PubMed, Scopus, Science Direct, Web of Science and Google Scholar databases were comprehensively searched until February 2021 for relevant articles. Heterogeneity between the studies was assessed using the I index. Begg and Mazumdar's test was used to evaluate publication bias.

RESULTS

A total of 35 studies with 12,365,646 subjects were retrieved. The mean age ranged from 10-45 years. Global prevalence of PCOS was 9.2% (95% CI: 6.8-12.5%) based on meta-analysis, our results showed that the global prevalence of PCOS was 5.5% (95% CI: 3.9-7.7%) based on NIH criteria, 11.5 (95% CI: 6.6-19.4) based on Rotterdam criteria, and 7.1% (95% CI: 2.3-20.2%) based on AES criteria. According to self-report subgroup analysis, the prevalence of PCOS was found to be 11% (95% CI: 5.2-21.8%).

CONCLUSION

Based on the results of the present study, the prevalence of PCOS in the world was 9.2% (95% CI: 6.8-12.5%). According to the results of the present study and the high prevalence of PCOS, especially in the Africa continent, it is necessary for health systems to implement measures to timely prevent and treat this syndrome.

摘要

背景

多囊卵巢综合征(PCOS)是育龄妇女中最常见的代谢紊乱。许多因素参与了 PCOS 的发展,其中遗传易感性可能是主要因素,同时也受到生活方式和环境因素的影响。本研究旨在根据 Rotterdam、AES 和 NIH 诊断标准,确定不同大陆 PCOS 的患病率。

方法

我们按照 PRISMA 指南进行了系统评价和荟萃分析,以评估根据(系统评价和荟萃分析报告的首选项目)PRISMA 指南,女性多囊卵巢综合征的患病率。全面检索了 PubMed、Scopus、Science Direct、Web of Science 和 Google Scholar 数据库,以获取相关文章,检索时间截至 2021 年 2 月。使用 I 指数评估研究之间的异质性。使用 Begg 和 Mazumdar 检验评估发表偏倚。

结果

共检索到 35 项研究,涉及 12365646 名受试者。平均年龄范围为 10-45 岁。荟萃分析显示,全球 PCOS 的患病率为 9.2%(95%CI:6.8-12.5%),我们的结果显示,根据 NIH 标准,全球 PCOS 的患病率为 5.5%(95%CI:3.9-7.7%),根据 Rotterdam 标准为 11.5%(95%CI:6.6-19.4%),根据 AES 标准为 7.1%(95%CI:2.3-20.2%)。根据自我报告亚组分析,发现 PCOS 的患病率为 11%(95%CI:5.2-21.8%)。

结论

根据本研究结果,全球 PCOS 的患病率为 9.2%(95%CI:6.8-12.5%)。根据本研究结果和 PCOS 的高患病率,特别是在非洲大陆,卫生系统有必要实施措施,及时预防和治疗这种综合征。

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